ATTACHMENT C EEV CERTIFICATION AND AGREEMENT.pdf

This document is an EEV (E-Verify) Certification and Agreement form required by the Mississippi Transportation Commission and Department of Human Services for state contractors to verify compliance with the Mississippi Employment Protection Act (Section 71-11-3 of the Mississippi Code of 1972). The form requires contractors to participate in the federal E-Verify program operated by the U.S. Department of Homeland Security to electronically verify employment eligibility of newly hired employees under the Immigration Reform and Control Act of 1986.

Contractors must secure verification from any subcontractors they employ using the MDOT-approved form and maintain records of compliance. Violations can result in contract cancellation, loss of licenses or permits for up to 3 years, and potential fines ranging from $1,000 to $10,000. The form must be signed by an authorized officer or agent, notarized, and include the company's E-Verify identification number. This reflects requirements enacted through federal and state employment verification laws working in conjunction with the Social Security Administration.